Liberty - TT, LLC

5 CSR 25-500.052 (1) (A) · Annual Requirements

The Annual Declaration was not submitted.

Required correction: The facility shall submit the Annual Declaration as required.

5 CSR 25-500.052 (2) (A) · Annual Requirements

The annual fire safety inspection was not approved.

Required correction: The facility shall submit evidence of compliance with annual fire safety requirements.

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due April 9, 2026

The Family Care Safety Registry check was not conducted for A.O., G.O. (11/25/2025) within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-500.052 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for entire staff within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-500.082 (III) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due April 9, 2026

The space for infants and toddlers is not separated by floor-to-ceiling walls.

Required correction: Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls. (GF)

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The ceilings located in talented twos room was/were not in good condition as evidenced by rusty vent.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in mover and shakers and growing threes was/were not in good condition as evidenced by sticky residue(4/9/2026), chipping paint, and toilet paper holder detaching from wall (exposed screws)(4/9/2026).

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The ceilings located throughout the center was/were not clean as evidenced by dusty vents and stained/dusty ceiling tiles (bowing ceiling tile in Wonderkids bathroom)(4/6/2026).

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers

Diapering requirements were not met as evidenced by there was no diapering table within the group space.

Required correction: The facility shall provide a safe and clean diapering table as required.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that broken in two places, and posts missing caps.

Required correction: The outdoor play area shall be accessible without hazard.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by black ground covering exposed, creating a tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The floors located in growing threes was/were not clean as evidenced by stained area rug.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located wonderkids (bathroom door) and movers and shakers (outside of door) was/were not clean as evidenced by sticky residue.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due October 22, 2025

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

Required correction: Fire, tornado, and other disaster drills shall be completed and recorded as required.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due October 22, 2025

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.

Required correction: Fire, tornado, and other disaster drills shall be completed and recorded as required.

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.

Required correction: Fire, tornado, and other disaster drills shall be completed and recorded as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. B.

A child was on a cot; no parental permission was on file.

Required correction: The facility shall use cots for toddlers only with written parental permission.

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by couch in talented toddlers torn.

Required correction: Indoor play equipment, clean and in good repair, shall be accessible to children.

5 CSR 25-500.102 (1) (T) · Personnel · Correction due November 25, 2025

The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate first aid was not on site.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.102 (1) (T) · Personnel · Correction due November 25, 2025

The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate CPR was not on site.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.102 · Personnel (1) (K) .

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: C.A., D.B., T.D., B.F., C.F., K.M., D.R., B.S., B.V., A.A.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (3) (C) · Personnel · Correction due November 25, 2025

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: K.B. 4 hours; Sarrah Dinwiddle-needs 1 hour; Santana Hiatt-needs 1 hour.

Required correction: Required training hours shall be documented for each employee.

5 CSR 25-500.102 (3) (F) 1. · Personnel

A caregiver did not obtain a Missouri Professional Development Identification (MOPD ID) number. The staff listed need a MOPD ID: A.A.

Required correction: All caregivers shall obtain a MOPD ID.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2025, the staff listed need the following information: Courtney Banks-needs-8.5hrs; Makayla Bowman-needs-3.5hrs; Katie Cunningham-needs-8.5hrs; Sarrah Dinwiddie-needs-6hrs; Kristina Dinwiddie-need-3hrs; Jasmine Hawkins-needs-5hrs; Santana Hiatt-needs-7hrs; Jayde Keithley-needs-3.5hrs; JoLynn Russell-needs-5hrs.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.102 (2) (A) 3. · Personnel

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due April 6, 2026

Safe sleep training was not completed within the past 3 years for the following staff A.O. & Greg Owen.

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due January 29, 2026

Kristina Dinwiddle did not complete safe sleep training within 30 days of employment or volunteering at the facility.

Required correction: The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

5 CSR 25-500.102 (4) (A) 3. · Personnel

D.B., A.A. and S.S. did not complete safe sleep training within 30 days of employment or volunteering at the facility.

Required correction: The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for D.B., T.D., C.F., K.M., D.R., B.S., B.V., A.A. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) .

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: C.A., D.B., T.D., K.M., D.R., B.S., B.V., A.A.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. A.

The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. B.

The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri are available for review.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. C.

The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. D.

The provider did not have parental acknowledgement on file indicating the parent understands and agrees that the child may not be accepted for care when ill.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. E.

The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child(s) file did not have the parental acknowledgement they have received a copy of the provider's safe sleep policy.

Required correction: Child enrollment information shall be completed and on file as requested.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. F.

The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

Required correction: Child enrollment information shall be completed and on file as requested.

5 CSR 25-600.020 (1) · General Requirements · Correction due April 6, 2026

Criminal background check results were not on file for A.A., C.B., K.B., M.B., B.F., S.H., K.D., A.O., G.O.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for C.A., Trista Donelson,Christina Foster, J.R., B.V., .

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-500.052 (2) (A) · Annual Requirements

The annual fire safety inspection was not approved.

Required correction: The facility shall submit evidence of compliance with annual fire safety requirements.

5 CSR 25-500.052 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for A.O., G.O. within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in mover and shakers and growing threes was/were not in good condition as evidenced by sticky residue, chipping paint, and toilet paper holder detaching from wall (exposed screws).

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The ceilings located throughout the center was/were not clean as evidenced by dusty vents and stained/dusty ceiling tiles (bowing ceiling tile in Wonderkids bathroom).

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that broken in two places, and posts missing caps.

Required correction: The outdoor play area shall be accessible without hazard.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 3, 2025

The facility's outdoor space was not safe for children's activities as evidenced by black ground covering exposed, creating a tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The ceilings located in talented twos room was/were not in good condition as evidenced by rusty vent.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

Required correction: Fire, tornado, and other disaster drills shall be completed and recorded as required.

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.

Required correction: Fire, tornado, and other disaster drills shall be completed and recorded as required.

5 CSR 25-500.102 (1) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate first aid was not on site.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.102 (1) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate CPR was not on site.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.102 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: K.B. 4 hours; Sarrah Dinwiddle-needs 1 hour; Santana Hiatt-needs 1 hour.

Required correction: Required training hours shall be documented for each employee.

5 CSR 25-500.102 (2) (A) 3. · Personnel

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due November 5, 2025

Safe sleep training was not completed within the past 3 years for the following staff J.R. and J.H.

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

5 CSR 25-500.102 (4) (A) 3. · Personnel

Kristina Dinwiddle did not complete safe sleep training within 30 days of employment or volunteering at the facility.

Required correction: The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

5 CSR 25-500.102 · Personnel (4) (A) .

Safe sleep training was not completed within the past 3 years for the following staff A.O. & Greg Owen.

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due September 16, 2025

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 2/20/2023 & 2/3/2025.

Required correction: Child medical requirements shall be completed and on file as required.

5 CSR 25-500.192 (4) (A) · Health Care · Correction due October 16, 2025

Requirements for immunization reports on file were not met as evidenced by 1 (enrollment date-2/3/2025) immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for A.A., C.B., K.B., M.B., B.F., S.H., K.D., A.O., G.O.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-500.052 (2) (A) · Annual Requirements

The annual fire safety inspection was not approved.

Required correction: The facility shall submit evidence of compliance with annual fire safety requirements.

5 CSR 25-500.052 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for A.O., G.O. within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 15, 2025

Children were not restricted to approved space as evidenced by furnace room unlocked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 15, 2025

Hazardous items as follows were accessible to children: diaper creams and lotion. The item(s) was/were located unlocked cabinets.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (VI) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due September 15, 2025

Flooring did not meet requirements as evidenced by washable area rugs were not laundered daily.

Required correction: Floors shall be made of approved materials; floor coverings and rugs cleaned and sanitized as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The ceilings located throughout the center was/were not clean as evidenced by dusty vents and stained/dusty ceiling tiles (bowing ceiling tile in Wonderkids bathroom).

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that broken in two places, and posts missing caps.

Required correction: The outdoor play area shall be accessible without hazard.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by black ground covering exposed, creating a tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 15, 2025

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The ceilings located in talented twos room was/were not in good condition as evidenced by rusty vent.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in mover and shakers and growing threes was/were not in good condition as evidenced by sticky residue, chipping paint, and toilet paper holder detaching from wall (exposed screws).

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

Required correction: Fire, tornado, and other disaster drills shall be completed and recorded as required.

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.

Required correction: Fire, tornado, and other disaster drills shall be completed and recorded as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. B. · Correction due September 11, 2025

A child was on a cot; no parental permission was on file.

Required correction: The facility shall use cots for toddlers only with written parental permission.

5 CSR 25-500.102 (1) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate first aid was not on site.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.102 (1) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate CPR was not on site.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.102 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: K.B. 4 hours; Sarrah Dinwiddle-needs 1 hour; Santana Hiatt-needs 1 hour.

Required correction: Required training hours shall be documented for each employee.

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due September 15, 2025

Safe sleep training was not completed within the past 3 years for the following staff K.B., S.D., K.M., .

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

5 CSR 25-500.102 · Personnel (4) (A) .

Safe sleep training was not completed within the past 3 years for the following staff J.R. and J.H.

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due September 15, 2025

Medical examination report(s) was/were not on file for J.H., S.H., D.T., K.W., J.R., M.M., and K.M. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due September 8, 2025

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: K.B., S.D., J.R.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

5 CSR 25-500.122 (2) (A) · Medical Examination Reports

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 2/20/2023 & 2/3/2025.

Required correction: Child medical requirements shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. A. · Correction due September 11, 2025

The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. B. · Correction due September 11, 2025

The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri are available for review.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. C. · Correction due September 11, 2025

The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. D. · Correction due September 11, 2025

The provider did not have parental acknowledgement on file indicating the parent understands and agrees that the child may not be accepted for care when ill.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. E. · Correction due September 11, 2025

The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child(s) file did not have the parental acknowledgement they have received a copy of the provider's safe sleep policy.

Required correction: Child enrollment information shall be completed and on file as requested.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. F. · Correction due September 11, 2025

The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

Required correction: Child enrollment information shall be completed and on file as requested.

5 CSR 25-500.192 (4) (A) · Health Care

Requirements for immunization reports on file were not met as evidenced by 1 (enrollment date-2/3/2025) immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for A.A., C.B., K.B., M.B., B.F., S.H., K.D., A.O., G.O.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-500.052 (2) (A) · Annual Requirements

The annual fire safety inspection was not approved.

Required correction: The facility shall submit evidence of compliance with annual fire safety requirements.

5 CSR 25-500.052 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for A.O., G.O. within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-500.082 (1) (C) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 22, 2025

Children were not restricted to approved space as evidenced by furnace room and kitchen not locked.

Required correction: Caregivers shall restrict children to approved space.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 22, 2025

Hazardous items as follows were accessible to children: bleach spray, carpet deodorizer, various diaper creams, apple slicer, knife and adult scissors. The item(s) was/were located in unlocked cabinets and drawers.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (V) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due April 22, 2025

The infant/toddler space had no separation from other parts of the building by floor-to-ceiling walls.

Required correction: The infant/toddler space shall be separated by floor-to-ceiling walls, have stable partitions, and care for no more than 24 children at one time.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 22, 2025

The floors located in talented two's room was/were not clean as evidenced by soiled carpet.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by black ground covering exposed, creating a tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by the disaster and tornado drill was not held at least one time every three months.

Required correction: Fire, tornado, and other disaster drills shall be completed and recorded as required.

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

Required correction: Fire, tornado, and other disaster drills shall be completed and recorded as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due April 22, 2025

Furniture/equipment, couch, in movers and shakers was not in good condition as evidenced by stained.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. B.

A child was on a cot; no parental permission was on file.

Required correction: The facility shall use cots for toddlers only with written parental permission.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. C. · Correction due April 22, 2025

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due April 22, 2025

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.102 (1) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate CPR was not on site.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.102 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: K.B. 4 hours; Sarrah Dinwiddle-needs 1 hour; Santana Hiatt-needs 1 hour.

Required correction: Required training hours shall be documented for each employee.

5 CSR 25-500.102 · Personnel (4) (A) .

Safe sleep training was not completed within the past 3 years for the following staff K.B., S.D., K.M., .

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

5 CSR 25-500.102 (1) (T) · Personnel

The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate first aid was not on site.

Required correction: Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for J.H., S.H., D.T., K.W., J.R., M.M., and K.M. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) .

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: K.B., S.D., J.R.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

5 CSR 25-500.122 (2) (A) · Medical Examination Reports

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 2/20/2023 & 2/3/2025.

Required correction: Child medical requirements shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. A.

The provider did not have parental acknowledgement on file indicating the parent received a copy of the provider's policies.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. B.

The provider did not have parental acknowledgement on file indicating the parent has been informed that Licensing Rules for Group Day Care Homes and Child Day Care Centers in Missouri are available for review.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. C.

The provider did not have parental acknowledgement on file indicating the parent and provider have agreed on a plan for continuing communication.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. D.

The provider did not have parental acknowledgement on file indicating the parent understands and agrees that the child may not be accepted for care when ill.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. E.

The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child(s) file did not have the parental acknowledgement they have received a copy of the provider's safe sleep policy.

Required correction: Child enrollment information shall be completed and on file as requested.

5 CSR 25-500.132 · Admission Policies and Procedures (8) (E) 8. F.

The facility did not meet requirements for child enrollment and health information on file as evidenced by 1 child(s) file(s) did not have the parental acknowledgement they have been notified that they may request whether there are children for whom an immunization exemption has been filed for currently enrolled in or attending the facility.

Required correction: Child enrollment information shall be completed and on file as requested.

5 CSR 25-500.192 (4) (A) · Health Care

Requirements for immunization reports on file were not met as evidenced by 1 (enrollment date-2/3/2025) immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for A.A., C.B., K.B., M.B., B.F., S.H., K.D., A.O., G.O.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 30, 2024

Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface.

Required correction: The facility shall provide a safe and clean diapering table as required.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 30, 2024

The facility's outdoor space was not safe for children's activities as evidenced by black ground covering exposed creating a tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 30, 2024

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due October 28, 2024

Furniture/equipment, shelves, in in growing threes and talented twos was not in good condition as evidenced by contact paper peeling off .

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due November 12, 2024

Outdoor equipment, large climber, in preschool playground was unsafe as evidenced by handle to stairs sinking into ground.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.102 (2) (A) 3. · Personnel · Correction due December 5, 2024

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 30, 2024

Hazardous items as follows were accessible to children: paint. The item(s) was/were located on counter top in growing threes room .

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 30, 2024

The walls located in movers and shakers was/were not in good condition as evidenced by hole in wall.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (4) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers

Diapering requirements were not met as evidenced by the diapering table did not have a waterproof washable surface.

Required correction: The facility shall provide a safe and clean diapering table as required.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by black ground covering exposed creating a tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (6) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by resilient material was not uniformly spread over the fall-zone area.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, shelves, in in growing threes and talented twos was not in good condition as evidenced by contact paper peeling off .

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due September 30, 2024

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, large climber, in preschool playground was unsafe as evidenced by handle to stairs sinking into ground.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.102 (2) (A) 3. · Personnel

The facility does not have an approved director on staff.

Required correction: The facility shall have an approved director/group home provider.

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due April 15, 2024

The Family Care Safety Registry check was not conducted for A.O. and G.O. within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due April 15, 2024

Furniture/equipment, cabinets, in growing threes was not in good condition as evidenced by doors broken.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. C. · Correction due April 15, 2024

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due April 15, 2024

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due April 15, 2024

Medical examination report(s) was/were not on file for D.M. as evidenced by the medical examination was not signed by the required medical source.

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for D.M. as evidenced by the medical examination was not signed by the required medical source.

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.052 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for A.O. and G.O. within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 10, 2024

Hazardous items as follows were accessible to children: first-aid kit, Air wick bulb, screws, tacky glue. The item(s) was/were located in unlocked drawers.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 10, 2024

The floors located in talented toddlers was/were not clean as evidenced by soiled carpet.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (3) (C) 2. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 10, 2024

The use of potty chairs/junior commode/adaptor seat did not meet requirements as evidenced by the potty chair was not cleaned.

Required correction: The facility shall provide, clean, and disinfect potty training equipment as required.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 10, 2024

The bathroom was not clean and odor free as evidenced by the toilet was soiled.

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due April 10, 2024

The walls located growing threes was/were not clean as evidenced by sticky residue.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due April 10, 2024

Furniture/equipment, Growing threes, in cabinet was not in good condition as evidenced by sticky residue.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. C.

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D.

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due April 10, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by covers on butterfly and cow riding toys soiled and torn books and foam block.

Required correction: Indoor play equipment, clean and in good repair, shall be accessible to children.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due April 10, 2024

Outdoor equipment, slide, in infant/toddler playground was not in good condition as evidenced by broken stairs.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due April 10, 2024

Furniture/equipment, chairs, in growing threes was not in good condition as evidenced by broken.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, cabinets, in growing threes was not in good condition as evidenced by doors broken.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 14, 2023

The premises were not safe and suitable as evidenced by low curbs/no parking stops in lot.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 14, 2023

The ceilings located in Wee Ones, Talented Toddlers and Super Stars was/were not in good condition as evidenced by stained ceiling tile, rust spot around light fixture and loose vent cover.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 28, 2023

The floors located in Growing Threes was/were not in good condition as evidenced by missing piece of tile.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 4, 2023

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that fences around air conditioners loose/broken.

Required correction: The outdoor play area shall be accessible without hazard.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 15, 2023

The facility's outdoor space was not safe for children's activities as evidenced by ground covering exposed.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due November 28, 2023

Bathroom supplies were not available and accessible to children as evidenced by toilet paper was not within children's reach.

Required correction: The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due December 4, 2023

Outdoor equipment, climbing equipment, in preschool playground was not in good condition as evidenced by rusting.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers

The premises were not safe and suitable as evidenced by low curbs/no parking stops in lot.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (1) (G) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 24, 2023

The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that missing outlet covers.

Required correction: The facility shall use outlet covers or twist-lock outlets as required.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 24, 2023

Hazardous items as follows were accessible to children: A.B.'s B.P., Desitin. The item(s) was/were located in unlocked drawer.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 31, 2023

The ceilings located in several rooms and hallway was/were not clean as evidenced by dusty/rusting vents, dusty light cover, stained ceiling tile, loose vent.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 31, 2023

The floors located in several rooms was/were not in good condition as evidenced by stains, tape residue on carpet and tile, piece of edging missing, small piece missing on baseboard.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due August 17, 2023

The walls located in growing threes and talented toddlers was/were not in good condition as evidenced by sticky residue and chipping paint on window sill.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (6) (A) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility did not have a fenced outdoor play area that was on or adjoining the day care property and was accessible without hazard as evidenced by the fence was not in good condition in that fences around air conditioners loose/broken.

Required correction: The outdoor play area shall be accessible without hazard.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by ground covering exposed.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (3) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

Bathroom supplies were not available and accessible to children as evidenced by toilet paper was not within children's reach.

Required correction: The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due October 24, 2023

The bathroom was not clean and odor free as evidenced by the toilet was soiled.

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The ceilings located in Wee Ones, Talented Toddlers and Super Stars was/were not in good condition as evidenced by stained ceiling tile, rust spot around light fixture and loose vent cover.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The floors located in Growing Threes was/were not in good condition as evidenced by missing piece of tile.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due August 31, 2023

Furniture/equipment, cribs , in wee ones and rolie polies was not in good condition as evidenced by sticky residue .

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due August 30, 2023

Furniture/equipment, feeding table, in rolie polies was not in good condition as evidenced by legs rusted.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due August 17, 2023

Furniture/equipment, changing table, in wonderful ones was not in good condition as evidenced by exposed wood.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due August 17, 2023

Furniture/equipment, parrot and cow wall toys , in wonderful ones was not in good condition as evidenced by chipping paint.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 28, 2023

Furniture/equipment, shelves, in rolie polies and wonder kids was not in good condition as evidenced by worn/dirty.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. B. · Correction due August 28, 2023

A child was on a cot; no parental permission was on file.

Required correction: The facility shall use cots for toddlers only with written parental permission.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due October 24, 2023

Outdoor equipment, toy house and toy box, in infant and 2-year-old playground was not in good condition as evidenced by broken/labels peeling off.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, climbing equipment, in preschool playground was not in good condition as evidenced by rusting.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due August 15, 2023

Medical examination report(s) was/were not on file for N.B., E.B. and R.H. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due August 15, 2023

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: N.B., E.B. and R.H.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

5 CSR 25-500.202 (2) (B) · Nutrition and Food Service · Correction due August 28, 2023

The provider did not meet requirements for a written diet plan for each infant and toddler as evidenced by the written diet plan was not updated for a child in that No toddler feeding plan on file.

Required correction: A written diet plan shall be on file for each infant/toddler, updated as needed and followed by caregivers.

5 CSR 25-600.020 (1) · General Requirements · Correction due August 21, 2023

Criminal background check results were not on file for B.V., M.K., D.E., A.W., D.E.

Required correction: Required results of criminal background checks shall be on file.